Organization
CENTRAL PARK EAR NOSE AND THROAT, LLP-MANSFIELD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEMETRA BRISTER (OFFICE MANAGER)
(817) 261-9191
Entity
Organization
Contact information
Practice address
409 CENTRAL PARK DR, SUITE 111, ARLINGTON, TX 76014-2069
(817) 261-9191
(817) 784-6880
Mailing address
221 REGENCY PKWY STE 111, MANSFIELD, TX 76063-6566
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
Other
Enumeration date
11/05/2015
Last updated
06/14/2023
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